MARK E BRODSKY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039540

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

BRODSKY

Business Name

MARK E BRODSKY

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006